Autism and Parenting

Oral Input Dysfunction


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Defensiveness:

  • Picky eater, often with extreme food preferences; i.e., limited repertoire of foods, selective about brands
  • Resistive to trying new foods
  • May only eat “soft” or pureed foods past 24 months of age
  • May gag with textured foods
  • Has difficulty with sucking, chewing, and swallowing, may choke or have a fear of choking
  • May only eat hot or cold foods
  • Dislikes or complains about toothpaste and mouthwash
  • Under register:

    • May lick, taste, or chew on inedible objects
      Prefers foods with intense flavor; i.e., excessively spicy, sweet, sour, or salty
    • Excessive drooling past the teething stage Frequently chews on hair, shirt, or fingers
    • Constantly putting objects in mouth past the toddler years
      Acts as if all foods taste the same
    • Loves vibrating toothbrushes and even trips to the dentist
    • -Interventions-
      Defensiveness:

      • Apply pressure to the oral (mouth) area (in and around the mouth) before eating and brushing teeth.
      • Gum massage at an interval of 3-4 hours daily.
      • Using an electric toothbrush for ease.
      • Use cold items to decrease sensitivity
      • Give rhythmic pressure starting from arms then shoulders and then cheeks
      • Under register:

        • Blow bubbles/whistles/balloons
        • Give hard candy/safe chew gum/chew tubes.
        • Drink water/thick liquids (milkshake, smoothie, pudding) from a bottle that requires sucking/has a contorted straw.
        • Give some hard and chewy texture things to eat.
        • Encourage kids to sing or hum.
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          Autism and ParentingBy Sandeep Verma